Summit Dental Practice
NPI #1578956363 in Folsom, California
Provider Information
- NPI Number
- 1578956363
- Entity Type
- Organization
- Organization Name
- Summit Dental Practice
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 18, 2015
- Last Updated
- Mar 18, 2015
Practice Location
- Address
- 25004 BLUE RAVINE RD
- City
- Folsom
- State
- California
- ZIP Code
- 95630-5283
- Phone
- (916) 355-8400
Authorized Official
- Name
- MAHNAZ MOUSSAVI
- Title
- DDS
- Phone
- (916) 355-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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